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Individual
SCOTT R RIVENES
Active
Individual
SCOTT R RIVENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K1026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129585911
—
TX
01
—
8P8497
BLUE CROSS & BLUE SHIELD
TX
01
—
P00207197
RAIL ROAD MEDICARE
TX
Enumeration date
10/17/2006
Last updated
11/08/2007
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